The federal government has joined in a whistleblower lawsuit alleging that a large hospitalist company engaged in systematic “upcoding” of Medicare and Medicaid claims.
Proposed legislation from the House of Representatives would decrease skilled nursing facilities’ Medicare rate updates, introduce new post-acute payment systems and institute readmissions penalties...
With Supreme Court reversal, nursing home may be able to claim ‘charitable immunity’ after all
By
Marty Stempniak
Apr 12, 2019
An Arkansas nursing home hoping to claim immunity from a lawsuit because of its charitable status may have new life, thanks to a new ruling from the state’s highest court.
Ask the payment expert
By
Patricia Boyer
Sep 01, 2007
What should our facility do to minimize our risk of medical review?
Study: Heart disease and stroke risk factors linked by single genetic defect
By
Haymarket Media
Nov 01, 2004
A single flaw in a person’s genes may indicate a lifetime of struggle with heart disease risk factors, such as high blood pressure, high cholesterol, and other metabolic disorders, according to recent...
Report: Scientists have completely mapped chromosomes linked to major diseases
By
Haymarket Media
Jun 01, 2004
Scientists have produced a complete map of human chromosomes 9 and 10, which are linked to diseases including cancer, diabetes and Alzheimer’s, according to the journal Nature.
How to do it … information technology
Sep 01, 2013
Acquiring a software package completes one process for providers, but it also initiates another: A quest to enhance staff knowledge and skills for using the new information technology. In this special...
Medicare review challenges receive class action certification
By
Jun 15, 2015
Six Medicare beneficiaries whose appeal cases were delayed beyond 90 days will have their challenges tried as one nationwide class action suit.
PET scans for Alzheimer’s rejected for Medicare pay
By
James M. Berklan
Nov 01, 2013
Earlier this year, the Department of Health and Human Services released an action plan for tackling Alzheimer’s diagnostics, treatment and funding.
Long-term care nurses gain power through physician assessment tool: expert
By
Elizabeth Newman
Apr 16, 2013
Long-term care nurses should embrace a physician assessment tool in INTERACT II as a way to reduce hospital readmissions, a compliance expert emphasizes.